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Use of Intraoperative C-Arm Fluoroscopy in Open Reduction and Internal Fixation of Mandibular Condyle Fracture - A
Jitender Kumar1, Sanjeev Kumar1, Sudhir K Kapoor2
1Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India.
The Rationale:
Condyle fractures are a common type of mandibular fracture that can result in malocclusion. Open reduction and internal fixation (ORIF) in condylar fracture is considered as the most acceptable treatment modality.
Patient Concerns:
The patient complained of pain and difficulty in the jaw while chewing.
Diagnosis:
An orthopantomogram and reverse Towne's view can lead to diagnosis of the condylar fracture.
Treatment:
Open reduction and internal fixation using intraoperative real-time visualisation of subcondylar fracture reduction utilising the C-arm fluoroscopic approach were used to allow for adequate anatomical repositioning and fast restoration of function to meet the patient's concerns.
Outcomes:
We were able to achieve correct reduction of the fracture fragments with restoration of function and occlusion.
Take-Away Lessons:
When this procedure is used to treat condylar fractures, surgeons can get a better view of the fracture segments while eliminating the need for postoperative intermaxillary fixation and also reduces the complications from inappropriate reduction and fixation.
